Showing posts sorted by date for query MU. Sort by relevance Show all posts
Showing posts sorted by date for query MU. Sort by relevance Show all posts

Thursday, October 08, 2026

 

The relationship between metacognition and performance anxiety in football (soccer)



Creating elite mindsets - the difference between amateur and professional players



Norwegian University of Science and Technology

Audun Havnen

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Audun Havnen, professor in adult clinical psychology at NTNU’s Department of Psychology. Photo: Elin Iversen

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Credit: Elin Iversen

In a recent international, Norwegian goalkeeper Orjan Nyland misjudges his pass, delivering the ball to the feet of Gançalo Ramos. The Portuguese striker chips into an empty net.

A momentary lapse of concentration by an individual and Norway loses the match.

It is easy to imagine this error weighing heavily on Orjan’s mind. But the experienced player has been praised for his reaction, amid a negative backlash in the media.

Elite levels of pressure

“I found it fascinating how calm Nylan stood out in his post-match interview after such an important match,” says clinical psychologist Magnus Ueland Nygaard, who co-authored the research paper with Audun Havnen, professor in adult clinical psychology at the Norwegian University of Science and Technology (NTNU).

The goalkeeper’s manager, Ståle Solbakken, was visibly furious with the mistake and many commentators called for Nylan to be replaced in the subsequent internationals.

“Nylan addressed the fact that mistakes happen, that they are part of football. And if you dwell on them too much you’ll be preoccupied with them,” explains Nygaard.

“Of course we do not know exactly what is happening inside the player’s mind. However, Nyland’s reaction in the interview might be reflective of both the team’s support system and the psychological resilience he has gained from a long career.”

Metacognitive beliefs

The researchers surveyed 150 Norwegian football players, men and women, aged between 16 and 40, playing at different levels of the sport.

They were especially interested in metacognitive beliefs: how the players thought about their own thoughts, and what impact this had on their competitive anxiety.

Competitive anxiety refers to an athlete’s emotional reaction to stressful sport situations. Previous studies have shown that it negatively affects performance.

Anxiety manifests itself in physical tension, worry and lack of concentration. It is reported as the most important contributor to inadequate performance in football and is also associated with increased injury risk.

Sports psychologists seek to manage players’ negative expectations about performance, e.g. “I might fail”. But there has been relatively little examination of metacognitive perspectives, such as players worrying about their thought processes and creating negative coping strategies.

Detached mindfulness

“Some aspects of the metacognitive therapy framework are employed in sports psychology settings,” says Nygaard. “For instance, attentional training techniques or what we refer to as detached mindfulness.

“But the aim is more often to improve performance rather than reduce or address the symptoms of psychological disorders.”

These coaching techniques have been widely popularised by mainstream media, including in the TV show, Ted Lasso.

The fictitious football coach is played by actor Jason Sudeikis. His exaggerated version of psychology-first coaching utilises unusual exercises and rituals. The players come out of their negative head space and perform more instinctively on the pitch. 

Ted Lasso, is undoubtedly inspired by real-life managers such as Mikel Arteta who employs pickpockets to keep his Arsenal players mentally alert, and the Norwegian coach Per-Mathias Høgmo, who asked his players to recite poetry to their teammates.

Høgmo’s approach is particularly relevant in this setting, as his mindfulness project specifically challenged players to focus on aspects they could actually control, whether they were “playing in front of three spectators or 50,000”.

Differences between elite and amateur

Nygaard’s research, conducted in collaboration with NTNU professor Audun Havnen, looks specifically at the differences between elite and amateur athletes, and between men and women.

The association between metacognitive beliefs and competitive anxiety was measured by testing three areas:

  • Physical/somatic anxiety. Did stress cause tension or physical nervousness in the game?
  • Worry. Were the players anxious about not performing well?
  • Concentration. Did the worrying result in loosing focus in the game?

The results indicated that players competing at amateur level experienced significantly more competitive anxiety than those playing at elite levels. Greater experience at dealing with pressure is suggested as a possible explanation. 

Older players also reported less competitive anxiety than their younger counterparts, while women demonstrated substantially higher levels of competitive anxiety than men (female athletes made up just 23% of the survey).

The results are consistent with previous sports psychology research which shows female athletes to often report higher levels of competitive anxiety. 

Visualisation; the reserve of the elite?

The research suggests that some players might develop a perceived usefulness of worry: “Worrying helps me cope”.

Others find the negativity uncontrollable: “When I start worrying, I cannot stop”.

At the elite end of the sport there are several examples of players who wilfully construct mental situations before games; visualising scenarios and ruminating on how they will react.

“That is my job. That is what I do. I imagine the game,” responded Brazilian striker Ronaldinho in an interview in 2006.

The Portuguese star Cristiano Ronaldo reported something remarkably similar in an interview to WHOOP podcast: “If you visualise before, you will be more prepared for that moment.”

Visualisation is not the reserve of footballers. Swimmer Michael Phelps, the most decorated Olympian in history, is renowned for running multiple versions of his races through his mind before competitions.

“Too heavy reliance on visualisation might go on to become a form of detrimental worry or rumination,” warns Nygaard. “In light of the metacognitive model, this can increase the players’ competitive anxiety and reduce performance.”

The researchers differentiate between positive and negative metacognitive beliefs. The positive encompasses the players’ rituals and their belief that worrying is all part of the preparation process.

Their findings demonstrate that this belief might be misplaced, and that at the amateur level it can be detrimental to performance.

Shifting focus and avoiding vicious cycles

Players of both sexes use rituals before games to to deal with anxiety. These include thinking about their thoughts before a game in order to get i the "right headspace".

“If you have positive metacognitive beliefs about worry, it tells you that worry is beneficial,” explains Audun Havnen, professor in adult clinical psychology at NTNU’s Department of Psychology.

“You believe that worry is a good thing. It’s a positive thing. It solves your problem.

“But for many people, once they start worrying, they can’t stop. They feel they are unable to get out of it. And that tells us that they might have negative metacognitive beliefs about the perceived uncontrollability of their thinking,” says Havnen.

Some people will become stuck in vicious cycles of negative thinking.

Nygaard and Havnen’s research revealed amateur players were significantly more anxious about their performance than professionals.

Their findings imply that elite players may have developed better coping strategies over time.

“When you worry about how you perform as a parent or at work, you try to foresee things that haven’t happened. You paint lots of negative scenarios,” says Havnen.

“In a way you’re trying to control the future. But if you instead just shift your focus towards the things that you can control, then you can leave those thoughts alone and fix the things that you can do something about.”

“That’s the take-home message from the metacognitive point of view.”

Marginal gains

Football is a game of small margins. A team sport where individual mistakes affect the fortunes of the collective.

There have been many studies about metacognitive models, but until now few studies have applied the model in a sports context.

The authors address the context-dependent demands that can be placed on players at every level of football. Amateur players, and players of all sexes and ages, put pressure on their own performances.

Sportspeople are competitive by nature. The way in which they think about their stress levels may affect how they play, but not all players have access to the same reserves of support or experience to draw upon.

The researchers therefore suggest that interventions should be adapted to athlete’s level of experience. 

Research:
Nygaard MU and Havnen A (2026) The relationship between metacognitive beliefs and competitive anxiety among elite and amateur soccer players. Front. Sports Act. Living 8:1880234. doi: 10.3389/fspor.2026.1880234

Thursday, September 17, 2026

 

Maynooth University researchers build a world-first DNA computer published in Nature





Maynooth University

Maynooth University DNA Computing Team (1)

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Pictured are three members of the five-person Maynooth University (MU) DNA computing research team: undergraduate researcher Janet Adio, alongside Prof Damien Woods and Dr Abeer Eshra of the Department of Computer Science's Hamilton Institute at MU.

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Credit: Maynooth University





Researchers at Maynooth University (MU) have developed a first-of-its-kind DNA computer, described as one of the most complex and fastest molecular computers yet reported.

The breakthrough, published in the flagship journal Nature, demonstrates a molecular computer made from strands of DNA that can perform multiplication, division and addition. Unlike conventional computers that run on silicon chips, the system is a collection of interacting DNA strands in water without a continuous electricity supply and needing only a little heat to kick-start the computation.

The research points to new possibilities for long-term data storage, energy-efficient computation and, in time, molecular systems that could operate inside cells for applications such as disease detection.

Professor Damien Woods of Maynooth University’s Hamilton Institute said the work opens a new direction for computing: “Silicon-based computers use so much energy – 23% of Ireland’s electricity goes into computing and data storage. We’ve been blinkered by only seeing one type of computer, but there are other examples around us, including our brain.”

Dr Abeer Eshra, Assistant Professor and computer scientist at MU’s Hamilton Institute, who conducted many of the experiments, said: “A small droplet of liquid contains billions, and sometimes trillions, of DNA strands. These strands interact with one another to produce a result.”

MU’s leadership in DNA computing is supported by a €4 million European Innovation Council grant led by Professor Woods. The DISCO project, DNA-based infrastructure for Storage and Computation, aims to develop new ways to compute and store  data using DNA technology.

The team created the DNA computer by adding a small drop of water and salt to a test tube, together with short pieces of DNA and a longer DNA scaffold. The recipe is heated and then cooled, allowing the DNA to perform a computation. “The molecules interact, form a structure and that structure is the answer,” said Professor Woods. “One key innovation is that the system naturally finds that answer without needing continuous energy inputs,“ he added.

The researchers ran ten programmes, including 100-bit computations. One experiment added numbers in the range of about 11 million to 34 million taking up to 14 hours to reach a result, while a calculation of 10 plus 3 took only 30 seconds.

The Maynooth University DNA computer was shown to be robust and reusable, performing up to 25 different calculations in a row. “The reaction happens fast in the test tube, but not as fast as silicon, nor is it intended to be. But compared to other DNA computers, ours is the fastest,” said Dr Eshra, joint first author of the Nature study alongside Dr Tristan Stérin. The paper's co-authors also included Senior Research Fellow Dr Constantine Evans and undergraduate researcher Janet Adio.

Prof Woods added that the research is part of a broader effort to explore alternative forms of computing: “This is blue skies science. We don’t know where the future is going to take us.”

Friday, August 21, 2026

 

Robotic assisted knee replacement gives the same patient outcomes as a surgeon only procedure



Robot-assisted knee replacement surgery is more precise than a surgeon on their own, but does not currently lead to improvements in patient outcomes





University of Warwick

Mako Robotic System in Use 

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Mako robotic system in use. Credit: UHCW NHS Trust

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Credit: UHCW NHS Trust





Robot-assisted knee replacement surgery is more precise than a surgeon on their own, but does not currently lead to improvements in patient outcomes, according to the RACER-Knee trial, the world's largest clinical study of its kind. This trial makes an important contribution to the evidence on robotics in health care and where future advances and research should focus. The trial, coordinated by the University of Warwick and University Hospitals Coventry and Warwickshire (UHCW) NHS Trust, is published in The Lancet, the world's oldest and best-known general medical journal.

Robotic assistance is increasingly used in knee replacement surgery worldwide, in six per cent of procedures in the UK, compared with 16 per cent in the US and 42 per cent in Australia, with the aim of helping surgeons place the knee replacement more precisely and tailoring surgery to a patient’s anatomy.

The National Institute for Health and Care Research (NIHR) funded the UK-wide RACER-Knee trial in partnership with Stryker, who make the robot that was tested. It was led by the Warwick Clinical Trials Unit, UHCW NHS Trust and the Royal Orthopaedic Hospital in Birmingham. It is the world's largest double-blinded randomised control trial comparing conventional total knee replacement to surgery assisted with the Stryker Mako robotic system, the most widely used system globally.

The trial found that one year after surgery, patients in both groups had similar recovery, mobility and pain levels. While robotic assistance was more precise, it did not translate into improvements in patient outcomes within the first year after knee replacement. The trial also found that robot-assisted knee replacement was not linked to an increased risk of serious adverse events, suggesting it was as safe as the usual approach to surgery.

The study was led between two Chief Investigators in the UK, they said:

Professor Andrew Metcalfe, Warwick Medical School, University of Warwick, and Consultant Orthopaedic Surgeon at UHCW NHS Trust: “We are delighted to have completed this world-leading randomised trial of an exciting technology that is now being used globally and at scale. It is an important step in the process of innovation and will stimulate lots more high-quality studies. We are very grateful for the support of the many patients who took part which is so important, but also the NIHR and Stryker for working so well together to support this critical study. Technology such as this could really help the care we give for patients, but for robotic-assisted knee replacements, there is still work to do before we see benefits such as less pain or better movement.”

Professor Edward Davis, Consultant orthopaedic surgeon at The Royal Orthopaedic Hospital NHS Foundation Trust and Honorary Professor at University of Birmingham: “The trial demonstrates robotic-arm-assistance allows for higher precision, and in theory the system should allow surgeons to customise the procedure according to a patient’s anatomy. These results are by no means a condemnation of the robotic systems, but more understanding of the ideal position for a knee replacement and personalisation for each patient is needed. We’ll then be able to truly take advantage of the advanced precision of robotic systems. “

Professor Anthony Gordon, Director for the NIHR Health Technology Assessment (HTA) Programme, said: “Innovation in healthcare depends on evaluating promising technologies rigorously and at scale. While this study shows robotic-assisted knee replacement is not yet improving patient outcomes, it highlights opportunities to refine these technologies and harness their precision to deliver better care in the future. The NIHR continues to fund robust studies, such as RACER, ensuring we learn how to deliver the latest technologies most effectively within the NHS.”

Total knee replacement is one of the most common elective operations worldwide for treating knee arthritis. Conventionally, surgeons rely on their experience and a standard set of instruments to perform the procedure. Some surgeons now use a robotic arm, controlled by the surgeon, to assist in the operation. The system positions instruments with high precision and gives surgeons greater flexibility to vary cutting angles and depths, enabling personalised approaches tailored to individual patient’s anatomy in ways conventional surgery cannot achieve.

339 patients from 10 hospitals, under the care of 33 surgeons across the UK, took part in the trial.  Despite the potential advantages of robotics, the trial found that there was no meaningful difference in the primary measure, the Forgotten Joint Score, 12 months after the operation. The score measures the extent to which patients are aware of their artificial joints during daily activities, and patients showed equal results with their artificial joints, whichever method was used for doing the replacement. Patients also showed comparable outcomes in their ability to walk, their experience of pain in the first three months and at 12 months, their pain in hospital, and the likelihood of a follow-up operation.

The researchers will continue to follow-up patients for ten years to find out if there are any long-term differences between the two approaches.  Importantly this might find out if there is a difference in number or patients needing more surgery for their knee.

Robotic TKRs took longer to perform (on average 10.5 minutes) and were around £950 more expensive on average, but were more precise and were not associated with an increased risk of serious adverse events, suggesting the robotic procedure was as safe as conventional surgery. Under current NHS cost limits, the robotic system tested in this trial was not cost-effective over the first year after surgery.

In the future, if the use of robotic assistance could help surgeons to better tailor to each patient's individual anatomy, then the robotic system's better precision could become worthwhile. This would need more development and further research but is an exciting area for future studies.

ENDS

The results of the RACER-Knee trial have published in The Lancet. DOI: 10.1016/S0140-6736(26)00986-4 

Notes to Editors

For more information please contact:

Matt Higgs, PhD | Media & Communications Manager (Warwick Press Office)

Email: Matt.Higgs@warwick.ac.uk | Phone: +44(0)7880 175403

About the Trial

This research has been organised by University Hospitals Coventry and Warwickshire NHS Trust, and the University of Warwick. It has been funded by the UK NHS research body, the National Institute for Health Research, through its Health Technology Assessment Programme (NIHR128768)

Stryker, the manufacturers of the robotic system, met the additional costs of doing robotic surgery within this study. They were not involved in the analysis or interpretation of the study findings.

About the University of Warwick

Founded in 1965, the University of Warwick is a world-leading institution known for its commitment to era-defining innovation across research and education. A connected ecosystem of staff, students and alumni, the University fosters transformative learning, interdisciplinary collaboration, and bold industry partnerships across state-of-the-art facilities in the UK and global satellite hubs. Here, spirited thinkers push boundaries, experiment, and challenge convention to create a better world.

About University Hospitals Coventry and Warwickshire NHS Trust

University Hospitals Coventry and Warwickshire NHS Trust (UHCW) are one of the largest acute teaching Trusts in the UK, comprising University Hospital in Coventry and the Hospital of St Cross in Rugby and working in partnership with Warwick University Medical School and Coventry University. It has more than 11,000 staff and delivers services across the West Midlands region. This includes hosting region-wide services such as the Coventry and Warwickshire Pathology Network and Bowel Cancer Screening programme. The Trust works closely with its partners in health and social care in Coventry and Warwickshire to develop patient-focused services that meet the needs of our communities.

About the Royal Orthopaedic Hospital NHS Foundation Trust

The Royal Orthopaedic Hospital NHS Foundation Trust is one of the largest specialist orthopaedic units in Europe, offering planned orthopaedic surgery to people locally, nationally, and internationally. The Trust is an accredited Veteran Aware organisation and a Disability Confident Leader.  A national centre for bone cancer and musculoskeletal medicine, the Royal Orthopaedic Hospital has a vibrant research portfolio of clinical trials, observational studies and laboratory studies exploring new treatment options, new approaches in rehabilitation and therapy, and new medical devices. This research is delivered by our researchers and clinicians spread across the Knowledge Hub, our home for education and research, and the Dubrowsky Regenerative Medicine Laboratory.

About NIHR

The mission of the National Institute for Health and Care Research (NIHR) is to improve the health and wealth of the nation through research. The mission of the National Institute for Health and Care Research (NIHR) is to improve the health and wealth of the nation through research. 

We do this by:

  • funding high quality, timely research that benefits the NHS, public health and social care
  • investing in world-class expertise, facilities and a skilled delivery workforce to translate discoveries into improved treatments and services
  • partnering with patients, service users, carers and communities, improving the relevance, quality and impact of our research
  • attracting, training and supporting the best researchers to tackle complex health and social care challenges
  • collaborating with other public funders, charities and industry to help shape a cohesive and globally competitive research system
  • funding applied global health research and training to meet the needs of the poorest people in low- and middle-income countries

NIHR is funded by the Department of Health and Social Care. 

Our work in low- and middle-income countries is principally funded through UK international development funding from the UK government.